摘要
目的观察针刺患肢胆经穴治疗脑梗死偏瘫患者的临床疗效及对患者下肢功能恢复的影响。方法将60例脑梗死偏瘫患者随机分为治疗组和对照组,每组30例。治疗组以患侧下肢胆经腧穴为主行针刺治疗,对照组采用常规针刺治疗。治疗2个疗程后,观察两组治疗前后Fugl-meyer下肢运动功能评分变化情况,并比较两组治疗后步速、步幅和足内翻发生率。结果两组治疗后Fugl-meyer下肢运动功能评分与同组治疗前比较,差异具有统计学意义(P<0.01)。治疗组治疗前后Fugl-meyer下肢运动功能评分差值与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗后步速、左右步幅差和足内翻发生率与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺患肢胆经穴能提高脑梗死偏瘫患者的下肢功能,降低足内翻的发生率。
Objective To investigate the clinical efficacy of acupuncture at affected-limb gallbladder meridian points and its effect on the recovery of lower limb function in treating hemiplegia patients with cerebral infarction. Methods Sixty hemiplegia patients with cerebral infarction were randomly allocated to treatment and control groups, 30 cases each. The treatment group received acupuncture at the gallbladder meridian points of the affected-side lower limb as main therapy and the control group, conventional acupuncture. After two courses of treatment, a pre-/post-treatment change in the Lower Extremity Fugl-Meyer Assessment score was observed in the two groups and post-treatment walking paces, pace lengths and incidences of strephenopodia were compared between the two groups. Results There was a statistically significant pre-/post-treatment difference in the Lower Extremity Fugl-Meyer Assessment score in the two groups（P〈0.01）. There was a statistically significant post-treatment difference in the Lower Extremity Fugl-Meyer Assessment score between the treatment and control groups（P〈0.05）. There were statistically significant post-treatment differences in walking pace, pace length and the incidence of strephenopodia between the treatment and control groups（P〈0.05）. Conclusion Acupuncture at affected-limb gallbladder meridian points can improve lower limb function and reduce the incidence of strephenopodia in hemiplegia patients with cerebral infarction.
出处
《上海针灸杂志》
2016年第9期1046-1048,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药科学研究基金计划(2013ZB129)
关键词
针刺疗法
脑梗死
偏瘫
胆经
下肢功能
中风并发症
Acupuncture therapy
Cerebral infarction
Hemiplegia
Gallbladder meridian
Lower limb function
Stroke complications
